Karl Bruce Evans

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

License

0450656388 Issued in NJ

Practice address

771 S East Ave Apt 777771S
Vineland, NJ 08360-5958

Phone

(856) 839-5423

Fax

(856) 691-0708

NPI assigned

Jun 7, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1164099313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 S EAST AVE APT 777",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083605958",
            "telephone_number": "856-839-5423",
            "fax_number": "856-691-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 S EAST AVE APT 777771S",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083605958",
            "telephone_number": "856-839-5423",
            "fax_number": "856-691-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "KARL",
        "middle_name": "BRUCE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "NJ",
            "license": "0450656388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0450656388",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carla Victoria Enriquez, M.D., F.A.A.P.
• Eliza Ermold, OTR/L
• Esa South Jersey Bariatrics, P.a.
• Karan K Estwick, DDS
• Ebony Evans, LPN
• Rashele Evans
• Evernear Healthcare Services LLC
• Excelcare Alliance, LLC
• Excellent Homecare of South Jersey
• Excellent Medical and School Supplies LLC

• Secured Medical Transport (VAN) in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Secured Medical Transport (VAN) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.